| NPI | 1326809997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08593) |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports (Licence: OH P.08593) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-05-28 |