| NPI | 1578018586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 7462) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 7462) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 7462) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: OH 7462) | |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |