| NPI | 1144546219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.07650) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 3687) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2018-01-31 |