| NPI | 1992433791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008084) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY200001541) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2024-04-01 |