| NPI | 1881927721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10002) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01350) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2016-06-16 |