| NPI | 1174767552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: RI PS000874) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 7231) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2013-08-28 |