| NPI | 1811289226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: ID 2261372) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: ME PS1388) |
| 1041C0700X Social Worker Clinical (Licence: ME LC5889) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2024-09-13 |