| NPI | 1881093524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001133) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005345) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2019-07-10 |