| NPI | 1346901378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08769) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 7125) |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2025-08-19 |