| NPI | 1073123675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2023048120) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 08054) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2024-02-14 |