| NPI | 1477615441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS1376) |
| Additional Taxonomies | 174400000X Specialist (Licence: ME PS1376) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2019-11-07 |