| NPI | 1952526782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1000097) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810002882) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2010-08-31 |