| NPI | 1942544580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ME PS1480) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NH 1318) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2016-08-18 |