| NPI | 1700933934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 8876) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: MA 8876) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2019-11-04 |