| NPI | 1477072429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA PSY10000293) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01957) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2023-11-20 |