| NPI | 1689743403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 105898) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 105898) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-09-05 |