| NPI | 1891430435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DC PSY1001371) |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy (Licence: DC PSY1001371) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |