| NPI | 1841524717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 8627) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MA 0195572) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |