| NPI | 1992077259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810004537) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: DC PSY1000738) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |