| NPI | 1629472519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH EL10891) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS01467) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2023-01-13 |