| NPI | 1972980233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01925) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO PSY.0004230) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2021-12-28 |