| NPI | 1689632259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 1723) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: OH 1723) |
| 103TC0700X Psychologist Clinical (Licence: OH 1723) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH 1723) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: OH 1723) | |
| 103TF0000X Psychologist Family (Licence: OH 1723) | |
| 103TH0004X Psychologist Health (Licence: OH 1723) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-10-06 |