| NPI | 1285081547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: ME PS2511) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: FL PY10560) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2023-06-23 |