| NPI | 1851962815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: RI PS01933) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: RI PS01933) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2024-09-03 |