| NPI | 1972815249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: RI PS01175) |
| Additional Taxonomies | 174400000X Specialist (Licence: RI PS01175) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2015-03-25 |