| NPI | 1336675768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: RI PS01631) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MA 10808-PY-PR) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MO 2014014302) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 10808-PY-PR) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: RI PS01631) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2022-12-08 |