| NPI | 1356714919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01582) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 2969) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2017-06-08 |