| NPI | 1265139901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH P.7443) |
| Additional Taxonomies | 103TF0000X Psychologist Family (Licence: OH P.7443) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |