| NPI | 1255418497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS586) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ME 586) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-04-13 |