| NPI | 1457404519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 7372) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MA 7372) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 7372) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2016-04-28 |