| NPI | 1659474179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1611) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 02652) |
| 103T00000X Psychologist (Licence: VA 0810001757) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |