| NPI | 1598770216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MA 4846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 93083) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-07-08 |