| NPI | 1912707928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: RI PS02339) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA PSY10001067) |
| 103TC0700X Psychologist, Clinical (Licence: RI PS02339) | |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-05-27 |