| NPI | 1336217629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 4514) |
| 103TC0700X Psychologist, Clinical (Licence: MA 4514) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2023-05-31 |