| NPI | 1306934971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6342) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E3962) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-09-10 |