| NPI | 1700896461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: OH 4331) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OH 4331) |
| 103T00000X Psychologist (Licence: OH 4331) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2015-04-15 |