| NPI | 1851065932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 1298) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WV 71421) |
| 103TC0700X Psychologist, Clinical (Licence: WV 71421) | |
| 103TC0700X Psychologist, Clinical (Licence: OH 6614) | |
| 103TH0004X Psychologist, Health (Licence: WV 71421) | |
| 103TH0004X Psychologist, Health (Licence: WV 1298) | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-12-29 |