| NPI | 1871727172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36412) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36412) |
| 103TC0700X Psychologist, Clinical (Licence: RI PS01121) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2018-10-09 |