| NPI | 1386604890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: RI PS00984) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 7436) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2024-12-02 |