| NPI | 1821328352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 018265) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1000596) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2013-04-09 |