| NPI | 1740949072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08997) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: OH P.08997) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2026-07-16 |