| NPI | 1437551017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS-02216) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9975) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2023-10-05 |