| NPI | 1598736506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6168) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 1878) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY12850) | |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2014-09-08 |