| NPI | 1962813444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P08435) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 8850) |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2023-03-21 |