| NPI | 1407216369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS02102) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 248358613) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2022-09-20 |