| NPI | 1538859400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007724) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 6982) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |