| NPI | 1144830498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01873) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 11396) |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2022-04-27 |