| NPI | 1891980025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY200001395) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003851) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2023-10-10 |