| NPI | 1841692670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH 3171) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |