| NPI | 1134591225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC PSY1001242) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY P99788) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2018-03-17 |