NPI | 1861463804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7526) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 014133) |
Enumeration Date | 2006-01-28 |
Last Update Date | 2019-12-10 |