| NPI | 1184170151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001182) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 05532) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |