| NPI | 1649327396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.6307) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH P6307) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2026-01-14 |