| NPI | 1245298819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: OH 5725) |
| 103T00000X Psychologist (Licence: OH 5725) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 5725) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: OH 5725) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OH 5725) | |
| 103TC1900X Psychologist, Counseling (Licence: OH 5725) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: OH 5725) | |
| 106H00000X Marriage & Family Therapist (Licence: OH 5725) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2022-07-21 |