| NPI | 1407176951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS2736) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810007457) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2026-05-20 |