| NPI | 1073752432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04862) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1000658) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2010-12-14 |