NPI | 1194994079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS 1186) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: ME PS 1186) |
103TF0000X Psychologist, Family (Licence: ME PS 1186) | |
103TH0004X Psychologist, Health (Licence: ME PS 1186) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: ME PS 1186) | |
Enumeration Date | 2008-02-26 |
Last Update Date | 2008-02-26 |