| NPI | 1922380401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005433) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1674) |
| 103TC0700X Psychologist, Clinical (Licence: DC PSY1001216) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2016-12-05 |