| NPI | 1902972722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC LC302211) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904002526) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-07-08 |