| NPI | 1023168531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: ME PS955) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: ME LC 1572) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2013-04-16 |