| NPI | 1386879302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS2621) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MN LP5087) |
| 103G00000X Clinical Neuropsychologist (Licence: OR 2211) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2024-11-04 |