| NPI | 1275786386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 7432) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016487) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2022-06-21 |