| NPI | 1992102982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH 6966) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: IN 20042589A) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2024-02-07 |