| NPI | 1396159117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS2757) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 24105) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2026-07-31 |