| NPI | 1760600407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1000046) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 03151) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |