| NPI | 1972108173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 94025664) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS02128) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2025-10-07 |