| NPI | 1063130714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35124) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P.08865) |
| 103T00000X Psychologist | |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2025-11-12 |