| NPI | 1063622348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6281) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 1915) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-05-28 |