| NPI | 1174192132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08519) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.010598) |
| 103TC0700X Psychologist, Clinical (Licence: TX 38817) | |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-10-05 |