| NPI | 1043663057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08306) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2022-08-19 |