| NPI | 1841567898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.07886) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS017105) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2022-08-17 |