| NPI | 1366881534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01425) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: RI PST00168) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2024-10-30 |