| NPI | 1750411468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6089) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH P.6089) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2026-01-16 |