| NPI | 1255879045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810002067) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1775) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-03-20 |