| NPI | 1679205074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA PSY10001846) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS02359) |
| Enumeration Date | 2022-06-26 |
| Last Update Date | 2025-10-21 |