| NPI | 1780197368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS020614) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH P.07669) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2025-11-19 |