| NPI | 1669529376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ME PS929) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: ME PS929) |
| 103TC0700X Psychologist, Clinical (Licence: ME PS929) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: ME PS929) | |
| 103TF0200X Psychologist, Forensic (Licence: ME PS929) | |
| 103TS0200X Psychologist, School (Licence: ME PS929) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |