NPI | 1346591120 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY 1000702) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004590) |
Enumeration Date | 2012-09-20 |
Last Update Date | 2012-09-20 |