| NPI | 1457864480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME 1515) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: ME 1515) |
| 103TC1900X Psychologist, Counseling (Licence: ME 1515) | |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |