| NPI | 1740299411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 1793-057) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 4156) |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2010-06-30 |