| NPI | 1821072836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: OH 3145) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OH 3145) |
| 103TC0700X Psychologist, Clinical (Licence: OH 3145) | |
| 103TC1900X Psychologist, Counseling (Licence: OH 3145) | |
| 103T00000X Psychologist (Licence: OH 3145) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2007-07-08 |