| NPI | 1962059030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.08075) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2020-09-24 |