| NPI | 1861939233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: RI PS01608) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 10020) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2025-04-09 |