| NPI | 1497929632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 9565) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS01239) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2016-12-09 |