| NPI | 1356462857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MA 3420) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 3420) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: MA 3420) | |
| 103TC0700X Psychologist, Clinical (Licence: MA 3420) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2009-09-22 |