| NPI | 1235509894 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS02278)  | 
| Additional Taxonomies | 103TS0200X Psychologist, School | 
| Enumeration Date | 2015-09-25 | 
| Last Update Date | 2025-05-07 |