| NPI | 1689830374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 1176) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1176) |
| 103T00000X Psychologist (Licence: RI PS01074) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2022-07-21 |