| NPI | 1386064509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.O7771) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004986) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2019-07-16 |