| NPI | 1336359108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001078) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 016329) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810005206) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2017-04-19 |