| NPI | 1679917017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7040) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OH 7040) |
| Enumeration Date | 2013-04-27 |
| Last Update Date | 2024-05-22 |