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 |