| NPI | 1912951708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 2908) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: OH 2908) |
| 103T00000X Psychologist (Licence: CA PSY6357) | |
| 103TC0700X Psychologist Clinical (Licence: OH 2908) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: OH 2908) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-06-07 |