| NPI | 1396889226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA PSY11838) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS00730) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2024-05-15 |