| NPI | 1578017208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NH 1660) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: ME PS2541) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2025-06-03 |