| NPI | 1881900199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5876) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS01862) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2021-03-30 |