| NPI | 1609810498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001218) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 002211) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2017-01-25 |