| NPI | 1083917686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04948) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC Psy1000657) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2016-06-14 |