| NPI | 1225095805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH 338) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: OH 338) | |
| 103TF0000X Psychologist Family (Licence: OH 338) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2010-12-08 |