| NPI | 1649280249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810-002170) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY 1689) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810002170) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2013-07-24 |