| NPI | 1578889291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 9256) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: RI PS01171) |
| 103T00000X Psychologist (Licence: RI PS01171) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2019-10-08 |