| NPI | 1063061257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA PSY11281) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: FL PSY10699) | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2024-09-17 |