| NPI | 1891757894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 6137) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: OH 6137) |
| 103TR0400X Psychologist Rehabilitation (Licence: OH 6137) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2016-05-26 |