| NPI | 1982779674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1000166) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC0408) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-12-22 |