| NPI | 1750811717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000895) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005029) |
| 103TC0700X Psychologist, Clinical (Licence: MD 05281) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |