| NPI | 1003900077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6293) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E3411-S) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-02-03 |