| NPI | 1548204316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 0980) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000365) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-04-09 |