| NPI | 1083160998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: OH SP.00661) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: OH OH3175653) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2020-11-12 |