| NPI | 1962424812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS 1193) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ME 1193) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2023-10-13 |