| NPI | 1932725348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08055) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WV 1246) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2021-12-06 |