| NPI | 1316069636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: DC PSY1000116) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: MD 03794) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MD 03794) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: DC PSY1000116) | |
| 103TF0000X Psychologist Family (Licence: MD 03794) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: DC PSY1000116) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2018-05-31 |