| NPI | 1063908861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS02208) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA PSY10000277) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2026-05-09 |