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 |