| NPI | 1942669023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08151) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810005371) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2023-10-18 |