| NPI | 1477160497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08078) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MI 6301019199) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2025-07-23 |