| NPI | 1740515337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA PSY-9070) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 9070) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2024-03-07 |