| NPI | 1124039847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist Rehabilitation (Licence: OH 3889) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 3889) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-02-04 |