| NPI | 1124287040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810000356) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000095) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |