| NPI | 1346264256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS00449) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 6161) |
| 103TC0700X Psychologist, Clinical (Licence: NY 010725) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |