| NPI | 1528221793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: MA 8869) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MA 8869) |
| 103TC0700X Psychologist, Clinical (Licence: MA 8869) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2023-12-26 |