| NPI | 1285085159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 10493) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MA 10493) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-01-09 |