| NPI | 1154018885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA PSY10001221) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA PSY10001221) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2025-10-21 |