| NPI | 1740429430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS-01123) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 40) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2020-07-08 |