| NPI | 1710478953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 9328-PY-PR) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9328) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2023-08-29 |