| NPI | 1033261102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS1130) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ME PS1130) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2015-11-06 |