| NPI | 1497180491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA PSY5000506) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC8853) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2025-04-02 |