| NPI | 1699100172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 10688) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 10688) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2023-05-10 |