NPI | 1376584805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS1240) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC2537) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2010-10-27 |