| NPI | 1457677445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 08100002576) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: DC PSY1850) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |