| NPI | 1043639644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08298) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS018136) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2023-09-19 |