| NPI | 1497236277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08231) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: PA PS018654) | |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2022-12-14 |