| NPI | 1952641334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05498) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1001041) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2022-07-21 |