| NPI | 1598540809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH P.08538) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY34199) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2024-03-17 |