| NPI | 1003974403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6841) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 21220) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2014-06-03 |