| NPI | 1790209955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1619) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 3079) |
| 103TC0700X Psychologist, Clinical (Licence: RI PS01897) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2025-01-18 |