| NPI | 1912069857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA HSP280) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA SW2030272) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |