| NPI | 1659509776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 10124) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 313482) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2018-05-16 |