| NPI | 1508537671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: ME PS2385) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: ME PS2385) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: ME PS2385) | |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |