| NPI | 1972260651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: DC PSY1001386) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VA 0810005930) |
| 103TC0700X Psychologist, Clinical (Licence: DC PSY1001386) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810005930) | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |