| NPI | 1043349749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 130270) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 5985) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-01-02 |