| NPI | 1336608843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01750) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: RI PS01750) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2020-01-08 |