| NPI | 1588621643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 4672) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS00390) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2026-06-17 |