| NPI | 1851624365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 5257) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 5257) |
| 103TC0700X Psychologist Clinical (Licence: RI PS01140) | |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2025-05-28 |