| NPI | 1841740628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001166) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS017665) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810006468) | |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2023-09-02 |