| NPI | 1316008881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1921) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 03463) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-02-28 |