| NPI | 1700036738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 8915) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 8915) | |
| 103TC0700X Psychologist, Clinical (Licence: MA 8915) | |
| 103TH0004X Psychologist, Health (Licence: MA 8915) | |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |