| NPI | 1992882120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: RI PS180) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 2306) |
| 103T00000X Psychologist (Licence: RI PS-180) | |
| 103T00000X Psychologist (Licence: MA 2306) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-12-28 |