| NPI | 1134219363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.07583) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 2881) |
| 103T00000X Psychologist (Licence: TN 2154) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-10-07 |