| NPI | 1447517651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001222) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4258) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2018-04-04 |