| NPI | 1467037192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 1372) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WV 1154) |
| 103T00000X Psychologist (Licence: OH P.08147) | |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2023-04-18 |