| NPI | 1407058431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ME PS1566) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA Not Applicable) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-01-22 |