| NPI | 1558533489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY200001263) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810007555) |
| 103TC1900X Psychologist, Counseling (Licence: LA 1191) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2022-01-09 |