| NPI | 1043611221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7389) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 4546) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2018-02-07 |