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 |