| NPI | 1093984361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 7018) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C-0501188-TRNE) |
| 101YM0800X Counselor, Mental Health (Licence: OH E0501188SUPV) | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2016-02-05 |