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 |