| NPI | 1699958496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000835) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 04233) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2018-04-25 |