| NPI | 1962563833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MA 4907) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 4907) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 4907) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2025-09-11 |