| NPI | 1891851655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 03041) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1000333) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |