| NPI | 1609447499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH P.5065) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OH P.5065) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-07-08 |