| NPI | 1245066406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS2603) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS02286) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |