| NPI | 1427671379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1540) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VT 048.0135091) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2025-05-22 |