| NPI | 1013097369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6305) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: TX 2-2209) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-01-15 |