| NPI | 1730157207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006968) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LC50077703) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2021-03-18 |