| NPI | 1801003520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04440) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000384) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2011-09-02 |