| NPI | 1891070926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 11689) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS01626) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2024-06-18 |