| NPI | 1083421762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08738) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OH P.08738) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-03-17 |