| NPI | 1558518316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6660) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY22093) |
| Enumeration Date | 2008-08-24 |
| Last Update Date | 2016-02-05 |