| NPI | 1194223842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.07677) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: OH P.07677) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2024-04-10 |