| NPI | 1609495282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY12271) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OH P.08309) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2024-06-03 |