| NPI | 1316787104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 295548) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH P.08697) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-10-15 |