| NPI | 1144596958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004487) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000770) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-26 |