| NPI | 1871105627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: DC PRC14999) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: VA 0701008658) |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |