| NPI | 1801355581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7484) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021450) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2024-04-08 |