| NPI | 1629126917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC13801) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC1697) |
| 103T00000X Psychologist (Licence: DC PSY1001335) | |
| 103T00000X Psychologist (Licence: VA 0810005660) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2018-02-16 |