| NPI | 1881818508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC LC300753) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MD 01382) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |