| NPI | 1871043596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08747) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY 60603757) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2025-01-31 |