| NPI | 1942558317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 6929) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 6929) |
| 103TR0400X Psychologist, Rehabilitation (Licence: OH 6929) | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-10-10 |