| NPI | 1568719987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01416) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: RI PS01416) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2015-01-23 |