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 |