| NPI | 1063984151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OH 21589414) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2018-12-29 |