| NPI | 1700074812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY 1098) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003810) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2012-11-20 |