| NPI | 1083943864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OH LSP.01315) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E-0002610) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2026-08-05 |