| NPI | 1942433909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08188) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 10108) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2022-01-20 |