| NPI | 1417221474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ME PS1123) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: ME PS1123) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2025-02-26 |