| NPI | 1144745977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: OH 6315) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| 103TF0000X Psychologist Family | |
| 103TH0100X Psychologist Health Service | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2022-07-21 |