| NPI | 1124246640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 5490) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: OH 5490) |
| 103TH0100X Psychologist Health Service (Licence: OH 5490) | |
| 103TR0400X Psychologist Rehabilitation (Licence: OH 5490) | |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2010-12-09 |