| NPI | 1093024812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 6492) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01206) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2018-06-04 |