| NPI | 1326124157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7381) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I8601) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-03-31 |