| NPI | 1083014302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08452) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 32997) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2023-09-25 |