| NPI | 1154875342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.07888) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021725) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2022-03-23 |