| NPI | 1487082152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 00081047) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000247) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2019-04-11 |