| NPI | 1902456924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001525) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 06121) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810006506) | |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2020-10-28 |