| NPI | 1689039422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: ME PS1563) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AK 107779) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2018-09-13 |