| NPI | 1588985543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000533) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 04588) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |