| NPI | 1669960084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: RI PS02306) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA PSY5000479) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2025-02-04 |