| NPI | 1043569098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MD 03540) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: DC PSY 1000018) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |