| NPI | 1093047037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6886) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004220) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2012-07-25 |