| NPI | 1063265403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: RI PST00349) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 13927) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2025-09-17 |