| NPI | 1053504027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6879) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0007114-S) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2016-10-12 |