| NPI | 1710260740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1717) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 03045) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY3160) | |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |