| NPI | 1902949571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01056) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PST00084) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2014-08-28 |