| NPI | 1922615335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH P.08212) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: OH P.08212) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2025-08-18 |