| NPI | 1831102508 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01332)  | 
| Enumeration Date | 2006-08-14 | 
| Last Update Date | 2025-03-03 |