| NPI | 1295383131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.08175) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NH 7127) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2025-10-14 |