| NPI | 1114136421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E0001603) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: OH E0001603) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |