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 |