| NPI | 1912059890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6948) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: SC 853) |
| 103T00000X Psychologist (Licence: SC 853) | |
| 103TC0700X Psychologist, Clinical (Licence: OH 6946) | |
| 103TC0700X Psychologist, Clinical (Licence: SC 853) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: SC 853) | |
| 103TH0100X Psychologist, Health Service (Licence: SC 853) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: SC 853) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2017-10-23 |