| NPI | 1992255749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01566) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 37593) |
| 103T00000X Psychologist (Licence: MA PSY10000232) | |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2026-09-10 |