| NPI | 1285063818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: RI PS01970) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 11381) |
| 103TC0700X Psychologist, Clinical (Licence: MA 11381) | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2022-05-27 |