| NPI | 1972777969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1000499) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 4657) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2012-03-05 |