| NPI | 1215050448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AL 1785) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC1968) |
| 103T00000X Psychologist (Licence: MD 04789) | |
| 103T00000X Psychologist (Licence: DC PSY1000811) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2017-02-28 |