| NPI | 1003834896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: OH 5816) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E0003723) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-09-20 |