| NPI | 1578926952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: RI PS01550) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 24448) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2023-07-17 |