| NPI | 1932692084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 9229) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1032237) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-10-01 |