| NPI | 1336200195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 3728) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 3728) |
| 103TC0700X Psychologist, Clinical (Licence: MA 3728) | |
| 103TH0004X Psychologist, Health (Licence: MA 3728) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-05-13 |