| NPI | 1033284252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5577) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 6006) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301008392) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2012-07-06 |