| NPI | 1184698417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 5169) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 10581) |
| 103T00000X Psychologist (Licence: MD 2341) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2016-04-01 |