| NPI | 1568598738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003617) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000348) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VA 0810003617) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC PSY1000348) | |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2007-07-08 |