| NPI | 1740917947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3695) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ME PS2441) |
| Enumeration Date | 2022-08-07 |
| Last Update Date | 2023-10-05 |