| NPI | 1699084137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY 1000628) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004248) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |