| NPI | 1144385238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: RI PS01168) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WA NONE) |
| 103TS0200X Psychologist School (Licence: DC POSTDOCTORAL RESIDEN) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2019-02-27 |