| NPI | 1467696823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34091) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P.08602) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2024-03-20 |