| NPI | 1063811289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OH SP.00637) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OH OH3170952) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2025-01-17 |