| NPI | 1629560180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS02237) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1538) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-03-06 |