| NPI | 1376713248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: MS C6274) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: ME LC677) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: FL SW2983) | |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |