| NPI | 1295173540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC Psy1000839) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 705615) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |