| NPI | 1053741074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.7522) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS T-LMLP 2474) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2024-10-21 |