| NPI | 1326889676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 07160) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.08961) |
| 103T00000X Psychologist (Licence: OH P.08961) | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2026-06-09 |