| NPI | 1093945438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9524) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA PSY9524) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2025-01-06 |