| NPI | 1659537033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: RI PS01943) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 017684) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2021-08-30 |