NPI | 1356718639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: ME ps1361) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ME ps1361) |
Enumeration Date | 2015-08-21 |
Last Update Date | 2024-03-21 |