| NPI | 1487176335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08090) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 10632) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2021-02-16 |