| NPI | 1457550311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DC PSY1000257) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA PSY7219) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2023-04-07 |