| NPI | 1720791676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.7106) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH P.7106) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2024-04-11 |