| NPI | 1346918067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 35566) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ME PS2606) |
| 103T00000X Psychologist (Licence: MA PSY10000701) | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2025-10-16 |