| NPI | 1639415219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: DC PSY1001159) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1001159) |
| 101YP2500X Counselor, Professional (Licence: DC PRC14145) | |
| Enumeration Date | 2012-12-30 |
| Last Update Date | 2020-12-28 |