| NPI | 1346420569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6684) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 33591) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2010-08-20 |