| NPI | 1992712103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC8071) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: ME LC8071) |
| 103TC0700X Psychologist, Clinical (Licence: ME LC8071) | |
| 103TC1900X Psychologist, Counseling (Licence: ME LC8071) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-08-06 |