| NPI | 1972144285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3577) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ME PS2003) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2022-01-18 |