| NPI | 1700012226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000916) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9434) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810004855) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2016-04-18 |