| NPI | 1396823894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1479) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 02292) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-08-20 |