| NPI | 1144558016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04659) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000556) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2018-06-15 |