| NPI | 1689437832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MA LEP1260) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MA 518826) |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |