| NPI | 1851736144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DC PSY1835) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: DC PSY1835) |
| 103TF0000X Psychologist Family (Licence: DC PSY1835) | |
| 103TF0200X Psychologist Forensic (Licence: DC PSY1835) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |