| NPI | 1306817994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA VA0810004426) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS006137L) |
| 103T00000X Psychologist (Licence: DC PSY1000608) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2011-07-08 |