| NPI | 1114373701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.07681) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 10857) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2017-12-05 |