| NPI | 1568971455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5609) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: OH 5609) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: OH 5609) | |
| Enumeration Date | 2017-09-24 |
| Last Update Date | 2022-07-21 |