| NPI | 1750759940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA PSY10001175) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist (Licence: NH 1510) | |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2024-11-26 |