| NPI | 1427492347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2966-57) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 22332) |
| 103TC0700X Psychologist, Clinical (Licence: PA 22332) | |
| 103TC0700X Psychologist, Clinical (Licence: MO 22332) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 22332) | |
| 103TC0700X Psychologist, Clinical (Licence: TN 22332) | |
| 103TC0700X Psychologist, Clinical (Licence: MI 22332) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2025-10-24 |