| NPI | 1174847784 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1000118)  | 
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC PSY1000118)  | 
| 103TP0814X Psychologist, Psychoanalysis (Licence: DC PSY1000118)  | |
| Enumeration Date | 2010-03-25 | 
| Last Update Date | 2010-03-25 |