| NPI | 1942837885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: RI PS01836) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 023839) |
| 103T00000X Psychologist (Licence: RI PS01836) | |
| 103TC0700X Psychologist Clinical (Licence: NY 023839) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-04-25 |