| NPI | 1851523609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6299) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY9181) |
| 103TH0004X Psychologist Health (Licence: OH 6566) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: OH 6566) | |
| 103T00000X Psychologist (Licence: OH 6566) | |
| 103TR0400X Psychologist Rehabilitation (Licence: OH 6566) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2024-03-01 |