| NPI | 1124492681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000078) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810002702) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |