| NPI | 1083692446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 4606) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 129164) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2024-10-08 |