| NPI | 1003058926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01222) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2011-03-03 |