| NPI | 1720458003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.07997) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P.07997) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2025-08-04 |