| NPI | 1285260356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH P.08032) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: FL PY10596) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2021-12-08 |