| NPI | 1063892115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.07846) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.0900485) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2018-12-31 |