| NPI | 1407962301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 7065) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS015803) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2015-11-20 |