| NPI | 1427023167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 7978) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 7978) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2007-07-08 |