| NPI | 1639221849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 759) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 5751) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2023-11-20 |