| NPI | 1265055008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08165) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 3760) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2021-07-13 |