| NPI | 1811059207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000157) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810002920) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |