| NPI | 1336204999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 1972) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: MA 1972) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: MA 1972) | |
| 103TH0100X Psychologist Health Service (Licence: MA 1972) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: MA 1972) | |
| 103T00000X Psychologist (Licence: MA 1972) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: MA 1972) | |
| 103TR0400X Psychologist Rehabilitation (Licence: MA 1972) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2010-09-23 |