| NPI | 1457503534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: RI PS02013) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7720) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY7767) | |
| 103TC0700X Psychologist, Clinical (Licence: OH 6970) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2025-02-11 |