| NPI | 1760659320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH 483) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 489) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2024-08-12 |