| NPI | 1790457661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08407) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01946) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2023-02-03 |