| NPI | 1134386071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 4583) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 2261) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |