| NPI | 1538172283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6053) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OH 6053) |
| 103TR0400X Psychologist, Rehabilitation (Licence: OH 6053) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2021-02-02 |