| NPI | 1083856306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC PSY1000566) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 04556) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-07-23 |