| NPI | 1619109980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: OH P.6568) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6568) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2024-05-22 |