| NPI | 1013431964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1612) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1612) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: DC PSY1612) | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |