| NPI | 1174344758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS2620) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 6640) |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |