| NPI | 1891147013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS02234) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: RI PS02234) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2024-02-07 |