| NPI | 1225411374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.07710) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 10769) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2019-02-18 |