| NPI | 1457014177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01876) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PS-T001084) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2022-03-02 |