| NPI | 1427341825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36061) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01228) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2024-09-26 |