| NPI | 1124331699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.07947) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: IA 088250) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2022-07-21 |