| NPI | 1225686348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA PSY10000684) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA PSy10000684) |
| Enumeration Date | 2019-09-02 |
| Last Update Date | 2025-12-30 |