| NPI | 1861511149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH 4584) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OH 4584) |
| 103T00000X Psychologist (Licence: OH 4584) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: OH 4584) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH 4584) | |
| 103TF0000X Psychologist Family (Licence: OH 4584) | |
| 103TH0100X Psychologist Health Service (Licence: OH 4584) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: OH 4584) | |
| 103TP0814X Psychologist Psychoanalysis (Licence: OH 4584) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: OH 4584) | |
| 103TR0400X Psychologist Rehabilitation (Licence: OH 4584) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2021-04-26 |