| NPI | 1942453246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ME ps966) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: ME ps966) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |