| NPI | 1083261176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.08376) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.01885) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2026-06-10 |