| NPI | 1366966723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01856) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 023568) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2023-06-22 |