| NPI | 1164582698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 08148) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0904002833) |
| 103T00000X Psychologist (Licence: DC LC303025) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2009-03-06 |