| NPI | 1144706201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 11064) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01711) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2020-07-15 |