| NPI | 1225431273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 5680) |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports (Licence: OH 5680) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2018-02-08 |