| NPI | 1891049425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DC PSY1000791) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MD 05254) |
| 103TC0700X Psychologist Clinical (Licence: VA 0810004490) | |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2019-08-22 |