| NPI | 1659400588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 4739) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: OH 4739) |
| 103G00000X Clinical Neuropsychologist (Licence: OH 4739) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2017-08-23 |