| NPI | 1508000324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1709) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810001843) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |