| NPI | 1538237896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 7036) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: MA 7036) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MA 7036) | |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2007-07-08 |