NPI | 1013001304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: DC PSY1000023) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 03936) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2024-07-12 |