| NPI | 1902325277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 11950) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS02093) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2024-04-10 |