| NPI | 1063167096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: CT 005358) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 103TC0700X Psychologist, Clinical (Licence: RI PS02271) | |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2026-07-16 |