| NPI | 1891029047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MA 203984) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 2585) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |