| NPI | 1346705530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.07990.) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 10993) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2020-03-04 |