| NPI | 1750451696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH 790) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 048.0134214) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2022-04-04 |