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 |