| NPI | 1023317005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6824) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01302) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2025-09-15 |