| NPI | 1134440548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MA 36649) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MA 36649) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |