| NPI | 1235388166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1352) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS00790) |
| 103TC0700X Psychologist, Clinical (Licence: MA 7067) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2023-06-12 |