| NPI | 1972839660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist Rehabilitation (Licence: OH P.7251) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MI 6301015476) |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2025-04-08 |