| NPI | 1245361468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ME PS 1242) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME LC11425) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2019-09-24 |