| NPI | 1639702889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01834) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 11292) |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2023-01-03 |