| NPI | 1023237195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000261) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: DC PSY1000261) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: DC PSY1000261) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810003387) | |
| 103TF0000X Psychologist, Family (Licence: VA 0810003387) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: VA 0810003387) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |