| NPI | 1427385137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1001493) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY9249) |
| 103T00000X Psychologist (Licence: CO PSY.0003859) | |
| 103T00000X Psychologist (Licence: AL 1761) | |
| 103T00000X Psychologist (Licence: TX 36811) | |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2019-06-12 |