NPI | 1235400953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS1336) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 1235) |
Enumeration Date | 2012-01-26 |
Last Update Date | 2012-01-26 |