| NPI | 1447608716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 11021) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1001410) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2019-03-15 |