| NPI | 1427461318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DC PSY1000975) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MD 05064) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |