| NPI | 1952726127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6949) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: OH 6949) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-07-30 |