| NPI | 1427061233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1702) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 03279) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |