| NPI | 1598290025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: RI PS02176) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CT 4539) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2023-07-11 |