| NPI | 1528600996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08894) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OH P.08894) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2025-11-25 |