| NPI | 1164745311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.7125) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AR 10-03AP-PL) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2023-11-02 |