| NPI | 1619646916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08203) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: OH P.08203) |
| 103TC0700X Psychologist, Clinical (Licence: OH P.08203) | |
| 103TH0004X Psychologist, Health (Licence: OH P.08203) | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |