| NPI | 1922318096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 57.017664) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MT MED-PHYS-LIC-33952) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2022-02-23 |