| NPI | 1982933800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000704) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: DC PSY1000704) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: DC PSY1000704) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: DC PSY1000704) | |
| 103TC0700X Psychologist, Clinical (Licence: MD 05001) | |
| 103K00000X Behavior Analyst (Licence: MD 05001) | |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2014-09-03 |