| NPI | 1891434197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 33378) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 11778) |
| 103T00000X Psychologist (Licence: IA 112801) | |
| 103T00000X Psychologist (Licence: NH 1588) | |
| 103T00000X Psychologist (Licence: VT 048.0134435) | |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-03 |