| NPI | 1649493578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: OH 3666) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: OH 3666) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH 3666) | |
| 103TF0200X Psychologist Forensic (Licence: OH 3666) | |
| 103TH0004X Psychologist Health (Licence: OH 3666) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |