| NPI | 1992817431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: RI PS00481) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 39865) |
| 103TC0700X Psychologist, Clinical (Licence: MA PSY5007) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2026-01-30 |