| NPI | 1003370578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: OR R389) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1902396) | |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2026-07-12 |