| NPI | 1841573474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS020056) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH P07758) |
| 103TC0700X Psychologist, Clinical (Licence: OH P07758) | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2024-01-16 |