| NPI | 1316102510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH P08020) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 017729) |
| 103TC0700X Psychologist Clinical (Licence: PA PS018167) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2021-06-17 |