| NPI | 1073723698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5971) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 2417) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-06-11 |