| NPI | 1528332228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA PSY9506) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: MA PSY9506) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2026-03-04 |