| NPI | 1629578984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 3919) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01675) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2022-09-15 |