| NPI | 1316133234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 8759) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 1243) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2011-10-31 |