| NPI | 1427365022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 10333) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 3030515) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2016-08-25 |