| NPI | 1235522970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 103TC0700X Psychologist, Clinical (Licence: MA 6998) | |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-04-24 |