| NPI | 1417133091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: OH P.07870) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY4192) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2023-08-03 |