| NPI | 1437241445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS1586) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NE 586) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2025-11-21 |