| NPI | 1235513060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008201) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01517) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2024-09-11 |