| NPI | 1225537749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH p.08418) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006004) |
| Enumeration Date | 2018-02-10 |
| Last Update Date | 2025-12-09 |