| NPI | 1033368675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003149) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS01181) |
| 103TC0700X Psychologist, Clinical (Licence: RI PS01181) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2012-02-29 |