| NPI | 1447604962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TC0700X Psychologist, Clinical (Licence: MA 10984) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2025-11-10 |