| NPI | 1619590726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS02078) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TH0004X Psychologist, Health (Licence: RI PS02078) | |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2022-11-07 |