| NPI | 1891908695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6318) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: OH 6318) |
| 103TR0400X Psychologist, Rehabilitation (Licence: OH 6318) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: OH 6318) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OH 6318) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-11-12 |