| NPI | 1619116993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: RI PS00987) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 4841) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2019-07-26 |