| NPI | 1861534448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04356) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1000321) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |