| NPI | 1588711733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY 1000274) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810002508) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |