| NPI | 1093251506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PSO1610) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01610) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2020-09-01 |