| NPI | 1043385081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01420) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY25755) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-07-18 |