| NPI | 1326441494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: OH OH3151595) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: OH SP00675) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2022-06-07 |