| NPI | 1841245347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MA 7045) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 7045) |
| 103TA0700X Psychologist Adult Development & Aging (Licence: MA 7045) | |
| 106H00000X Marriage & Family Therapist (Licence: MA 7045) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-12-14 |