| NPI | 1629140546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1163) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 01494) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-15 |