| NPI | 1689815292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: DC PSY 1890) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY 1890) |
| 103TC0700X Psychologist, Clinical (Licence: DC PSY 1890) | |
| 103TC1900X Psychologist, Counseling (Licence: DC PSY 1890) | |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |