| NPI | 1982214326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSYA00019) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: DC 00019) |
| 103TS0200X Psychologist, School (Licence: DC PSYA00019) | |
| 103TC0700X Psychologist, Clinical (Licence: MD A0709) | |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2024-08-28 |