| NPI | 1316972565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ME PS883) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: ME PS883) |
| 103TH0004X Psychologist Health (Licence: ME PS883) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2010-08-24 |