| NPI | 1629108394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 002665) |
| 103T00000X Psychologist | |
| 103T00000X Psychologist (Licence: RI PS01784) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-02-15 |