| NPI | 1528383593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA PSY5000413) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2024-10-23 |