| NPI | 1861798670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: DC PSY1000689) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: MD 04946) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |