| NPI | 1427343151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003889) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 6593) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2023-06-09 |