| NPI | 1265283980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 5136) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA PSY10000972) |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2025-09-03 |