| NPI | 1700289360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: RI PS01795) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist (Licence: MA 11259) | |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2020-04-29 |