| NPI | 1851916936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 11203) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2020-06-14 |
| Last Update Date | 2020-06-14 |