| NPI | 1902093891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6640) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY23013) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2011-11-03 |