| NPI | 1215369004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: RI PS01543) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 10021) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2023-09-18 |