| NPI | 1679643746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000742) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071005979) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-05-18 |