| NPI | 1649463720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MA 8610) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 8610) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |