| NPI | 1164760500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: OH P.6988) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH P.6988) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2026-08-05 |