| NPI | 1881851715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33971) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 6312) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2016-11-28 |