| NPI | 1740687763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6638) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042476A) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2015-09-21 |