| NPI | 1457503534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: RI PS02013) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: FL PY7767) |
| 103TC0700X Psychologist Clinical (Licence: OH 6970) | |
| 101YM0800X Counselor Mental Health (Licence: FL MH7720) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2023-06-21 |