| NPI | 1124237458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: OH I0000050) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0000050) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |