| NPI | 1750426185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.07814) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.007984) |
| 103TC0700X Psychologist, Clinical (Licence: NC 2590) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2018-11-14 |