| NPI | 1043965627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 11722) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS01964) |
| Enumeration Date | 2022-02-13 |
| Last Update Date | 2022-04-04 |