| NPI | 1306961438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY701) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 01326) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC301454) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |