| NPI | 1447690292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 7052) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 7052) |
| 103TC0700X Psychologist, Clinical (Licence: TX 36206) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2018-01-31 |