| NPI | 1316187933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000049) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810002861) |
| Enumeration Date | 2009-02-22 |
| Last Update Date | 2009-02-22 |