| NPI | 1508327495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0814X Psychologist Psychoanalysis (Licence: MA 10000230) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 10000230) |
| 103TC1900X Psychologist Counseling (Licence: MA 10000230) | |
| 103T00000X Psychologist (Licence: MA 10000230) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-05-06 |