| NPI | 1598362758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08220) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WY 707) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2026-01-21 |