| NPI | 1689540908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA LEP1253) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: MA 517181) |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |