| NPI | 1194105437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS1591) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2019-07-11 |