| NPI | 1316355845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM 1331) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH P.07730) |
| 103TC0700X Psychologist, Clinical (Licence: IN 20042718B) | |
| 103TC0700X Psychologist, Clinical (Licence: IN 20042718A) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2024-06-14 |