| NPI | 1326709361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA PSY1000170) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA PSY1000170) | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2023-08-18 |