| NPI | 1649629577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000306) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003579) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |