| NPI | 1093994949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MD 07013) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC2555) |
| 101YP2500X Counselor Professional (Licence: DC PRC13986) | |
| 101YP2500X Counselor Professional (Licence: VA 0701008086) | |
| 103TC0700X Psychologist Clinical (Licence: VA 0810007740) | |
| 103TC0700X Psychologist Clinical (Licence: DC PSY200001288) | |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2023-10-06 |