| NPI | 1225278476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01107) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 8959) |
| Enumeration Date | 2009-03-01 |
| Last Update Date | 2016-10-19 |