| NPI | 1508094590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: RI PS01131) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: RI PS01131) |
| 103G00000X Clinical Neuropsychologist (Licence: RI PS01131) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2014-06-18 |