| NPI | 1003354648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001193) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS017754) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |