| NPI | 1861064354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.08196) | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2025-03-22 |