| NPI | 1073731337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: RI PS00939) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 048-0000730) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: RI PS00939) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: VT 048-0000730) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: RI PS00939) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VT 048-0000730) | |
| 103TC0700X Psychologist, Clinical (Licence: RI PS00939) | |
| 103TC0700X Psychologist, Clinical (Licence: VT 048-0000730) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: RI PS00939) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VT 048-0000730) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2011-12-08 |