NPI | 1003892712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: RI PS00283) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS00283) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2012-01-19 |