| NPI | 1154458438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01615) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9797) |
| 103TC0700X Psychologist, Clinical (Licence: NY 021654) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-07-25 |