| NPI | 1710672050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: MA PSY10000267) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA PSY10000267) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-08-08 |