| NPI | 1982274122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS02363) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 10000456) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2025-07-24 |