| NPI | 1548134620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08539) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 015568) |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |