| NPI | 1770999252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 7150) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 7150) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2017-08-24 |