| NPI | 1568455202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1527) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810002292) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2007-07-08 |