| NPI | 1235154774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH P.6231) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OH 6231) |
| 103TC0700X Psychologist Clinical (Licence: IL 071006949) | |
| 103TC0700X Psychologist Clinical (Licence: OH 6231) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-10-12 |