NPI | 1578549960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: RI PS00915) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS00915) |
Enumeration Date | 2005-12-19 |
Last Update Date | 2012-01-26 |