| NPI | 1033791769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01954) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 022539) |
| 103TC0700X Psychologist, Clinical (Licence: MA 11570) | |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2023-06-08 |