| NPI | 1053519538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME CNP251251) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP1649) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2025-07-17 |