| NPI | 1912452418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 1096) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 7480) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2022-09-07 |