| NPI | 1851824122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA PSY10000898) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 3788) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2025-04-21 |