| NPI | 1831602085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC psy1877) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 03284) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2019-05-28 |