| NPI | 1952793671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001298) |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2018-07-26 |