| NPI | 1144384009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810004889) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: DC PSY1000071) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2013-11-13 |