| NPI | 1942432778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004679) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000853) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2014-07-16 |