| NPI | 1497927479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000420) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 04261) |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2014-05-19 |