| NPI | 1518976125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH P.5633) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 5633) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2024-02-06 |