| NPI | 1033314562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5271) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: OH 5271) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OH 5271) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2012-08-29 |