| NPI | 1013173525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05077) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS018487) |
| 103T00000X Psychologist (Licence: DC PSY1000938) | |
| 103T00000X Psychologist (Licence: VA 0810005095) | |
| 103TC0700X Psychologist, Clinical (Licence: MD 05077) | |
| 103TC0700X Psychologist, Clinical (Licence: PA PS018487) | |
| 103TC0700X Psychologist, Clinical (Licence: DC PSY1000938) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810005095) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2019-07-14 |