| NPI | 1265466924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH T-0417) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 74821) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-09-17 |