| NPI | 1982442430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS02264) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301019532) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-09-30 |