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 | |
Enumeration Date | 2014-10-03 |
Last Update Date | 2022-06-07 |