| NPI | 1043473002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.07904) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 05499) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2022-02-08 |