| NPI | 1467909168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ME PS1465) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: ME PS1465) |
| Enumeration Date | 2016-09-10 |
| Last Update Date | 2023-01-17 |