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 |