| NPI | 1790194942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 11073) |
| Additional Taxonomies | 103TF0000X Psychologist, Family |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2021-05-10 |