| NPI | 1922301423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003364) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC psy1000235) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |