| NPI | 1962959650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08547) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OH P.08547) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2024-05-23 |