| NPI | 1881825693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DC PSY1000838) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: VA 0810004618) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2013-08-30 |