| NPI | 1144628751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.07917) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: OH P.07917) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2020-02-06 |