| NPI | 1689797755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY 1127) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810-002552) |
| 103T00000X Psychologist (Licence: MD 1838) | |
| 103TC0700X Psychologist Clinical (Licence: DC PSY 1127) | |
| 103TC0700X Psychologist Clinical (Licence: VA 0810-002552) | |
| 103TC0700X Psychologist Clinical (Licence: MD 1838) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: DC PSY 1127) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: VA 0810-002552) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MD 1838) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |