| NPI | 1831700103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PST00249) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: RI PST00249) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |