| NPI | 1205445855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS02134) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 023763) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2022-12-07 |