| NPI | 1851944516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08579) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: OH P.08579) |
| 103TC0700X Psychologist, Clinical (Licence: MD 06107) | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2024-02-09 |