| NPI | 1962596213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: ME PS1009) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ME PS1009) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-08-29 |