| NPI | 1528433489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01518) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY 9421) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2025-02-12 |