NPI | 1831598093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: RI PS01459) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01459) |
Enumeration Date | 2014-08-13 |
Last Update Date | 2015-10-19 |