| NPI | 1568471167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS1145) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC5333) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2012-03-21 |