| NPI | 1922319243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: RI PS01336) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2012-10-15 |