| NPI | 1225465867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7235) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042435A) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2020-12-22 |