| NPI | 1255868493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.08036) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH P.08036) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2020-12-16 |