| NPI | 1073806139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH 6762) |
| Additional Taxonomies | 103TH0004X Psychologist Health (Licence: OH 6762) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |