| NPI | 1821331851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 6688) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OH 6688) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: OH 6688) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2015-01-29 |