| NPI | 1295826451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2006029912) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 6261) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071007155) | |
| 103TC0700X Psychologist, Clinical (Licence: KS 1704) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-07-23 |