| NPI | 1689352783 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08489)  | 
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: OH P.08489)  | 
| Enumeration Date | 2023-07-07 | 
| Last Update Date | 2023-07-07 |