| NPI | 1821306424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6933) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2021-09-02 |