| NPI | 1205909801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0904000748) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 4978) |
| 103T00000X Psychologist (Licence: DC LC00300029) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |