| NPI | 1831590082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5527) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P.07607) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2019-08-09 |