| NPI | 1225221062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DC PSY1000900) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC20702) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2014-01-30 |