| NPI | 1962639252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6183) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6183) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2018-03-17 |