| NPI | 1831346782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA PSY5000324) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 31223) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2023-05-24 |