| NPI | 1689390585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: ME PS2599) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA PSY10000052) |
| 103T00000X Psychologist (Licence: ME PS2599) | |
| 103T00000X Psychologist (Licence: MA PSY10000052) | |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2024-09-25 |