| NPI | 1740322395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: DC PSY1000072) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000072) |
| 103TF0000X Psychologist, Family (Licence: DC PSY1000072) | |
| 103T00000X Psychologist (Licence: DC PSY1000072) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |