| NPI | 1457486458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.6271) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 6271) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2019-07-29 |