| NPI | 1205159811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003959) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ME PS1282) |
| 103TC0700X Psychologist, Clinical (Licence: ME PS1282) | |
| 103T00000X Psychologist (Licence: CT 003959) | |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2022-05-11 |