NPI | 1821434200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1001399) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MD 06170) |
103TC0700X Psychologist, Clinical (Licence: TN 3329) | |
Enumeration Date | 2013-05-13 |
Last Update Date | 2018-09-24 |