| NPI | 1386094498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JANE COOK President/Treasurer 207-846-3935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ME PS872) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-10-11 |