| NPI | 1821262536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.6445) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6445) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2021-12-01 |