| NPI | 1942293303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: VA 0810002207) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: DC PSY1000244) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2011-06-27 |