| NPI | 1710466685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: MA 6522) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: MA 364688) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |