| NPI | 1538299532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810003513) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 04378) |
| 103T00000X Psychologist (Licence: DC PSY1000288) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-09 |