| NPI | 1831147958 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY100143)  | 
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 03673)  | 
| Enumeration Date | 2006-05-04 | 
| Last Update Date | 2013-08-06 |