| NPI | 1700819273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI PS00668) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS00668) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2023-02-28 |