| NPI | 1962607523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04465) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000376) |
| 103T00000X Psychologist (Licence: DC PSY1000376) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2010-02-17 |