| NPI | 1417911207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI DO00603) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: RI DO00603) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NH 21224) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI 00603) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 21224) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2023-04-24 |