| NPI | 1124096326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6529) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OK 558) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2009-07-01 |