| NPI | 1598845166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: DC PSY1000205) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: DC PSY1000205) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: VA 0810003024) | |
| 103TC0700X Psychologist Clinical (Licence: VA 0810003024) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |