| NPI | 1447967096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: RI PS02112) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS02112) |
| 103TC1900X Psychologist Counseling (Licence: RI PS02112) | |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2025-05-30 |