| NPI | 1811910482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7056) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 986) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-04-07 |