| NPI | 1962024869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: RI PS01791) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 11069-PY-PR) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |