| NPI | 1891855334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DC PSY1000843) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: VA 0810001703) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2017-01-10 |