| NPI | 1326520727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA PSY10001172) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2025-06-11 |