| NPI | 1780068866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS02150) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 11375) |
| 103TC0700X Psychologist, Clinical (Licence: NC 4962) | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2023-02-16 |