NPI | 1982679403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 3898) |
Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: OH 3898) |
103T00000X Psychologist (Licence: OH 3898) | |
Enumeration Date | 2006-02-19 |
Last Update Date | 2012-08-13 |