| NPI | 1588896153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08273) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY9617) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2022-08-24 |