| NPI | 1609031145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MA 424223) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 251S00000X) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |