| NPI | 1700917168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4479) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6938) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2018-03-17 |