| NPI | 1487710406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA MA7383) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MA MA7383) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103T00000X Psychologist (Licence: MA MA7383) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MA MA7383) | |
| 103T00000X Psychologist | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-11-09 |