| NPI | 1306327614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01841) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 10768) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2022-12-15 |