| NPI | 1376623942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA 28267) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 0169861) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC PSY1000313) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2016-05-04 |