| NPI | 1407429871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08765) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3997-57) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2025-04-25 |