| NPI | 1548533458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000318) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 4245) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2014-05-12 |