| NPI | 1861023087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSYA00343) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSYA00343) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2023-09-28 |