| NPI | 1518468792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: RI PS02055) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: VA 0813000885) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2022-05-02 |