NPI | 1316439045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08308) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2018-05-30 |
Last Update Date | 2022-06-09 |