| NPI | 1083388771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS02377) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 022915-01) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2025-08-06 |