| NPI | 1891131140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10390) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 10390) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2023-12-12 |