| NPI | 1881942555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1001025) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 05542) |
| 101YP2500X Counselor, Professional (Licence: MD LC2862) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810005109) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2021-06-01 |