| NPI | 1396020228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079066) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: DC LC50079066) |
| 106H00000X Marriage & Family Therapist (Licence: MD 16909) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC LC50079066) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |