| NPI | 1497815864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6951) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 3990) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2010-02-03 |