| 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 |