| NPI | 1386704344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS1238) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VT 0480000895) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-09-26 |