| NPI | 1467968495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1001272) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 05787) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2019-01-08 |