| NPI | 1972969004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7373) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 7373) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2025-06-06 |