| NPI | 1518430008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH P.07631) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist Clinical (Licence: CO PSY.0004409) | |
| 103TC0700X Psychologist Clinical (Licence: PA PS017957) | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2021-07-14 |