| NPI | 1619589025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 08064) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OH 08064) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2024-05-16 |