| NPI | 1508469537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY004638) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS02382) |
| 103T00000X Psychologist (Licence: GA PSY004638) | |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2025-12-03 |