| NPI | 1487059226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DC PSY1000982) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: DC PSY1000982) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: DC PSY1000982) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |