| NPI | 1902829088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI ps00717) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 8462) |
| 103TC0700X Psychologist, Clinical (Licence: CO 2535) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-06-13 |