| NPI | 1043651466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1000619) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810004227) |
| Enumeration Date | 2013-07-14 |
| Last Update Date | 2013-07-14 |