| NPI | 1336172584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 7174) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS 016999) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2021-02-23 |