| NPI | 1508817743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH 1633) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3303) |
| 103TC0700X Psychologist, Clinical (Licence: WI 3303) | |
| 103TC0700X Psychologist, Clinical (Licence: VT 0480000783) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-01-13 |