| NPI | 1467619544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: RI PS01065) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CT 4222) |
| 103TC1900X Psychologist, Counseling (Licence: MA PSY11566) | |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2024-05-05 |