| NPI | 1295771533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 7935) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 7935) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: MA 7935) | |
| 103TC0700X Psychologist, Clinical (Licence: MA 7935) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 7935) | |
| 103TH0100X Psychologist, Health Service (Licence: MA 7935) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2025-09-11 |