| NPI | 1639632268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA PSY10001357) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2025-10-27 |