| NPI | 1083943310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6617) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6617) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: OH 6617) | |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |