| NPI | 1538732029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ME PS2458) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 024423) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2022-07-05 |