| NPI | 1093811010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA PSY11802) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS008896L) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2024-10-25 |