| NPI | 1376758680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS00981) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA PSY8857) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2026-04-04 |