| NPI | 1750809752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08650) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IA 083547) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2024-07-22 |