| NPI | 1326467457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OH SP.00694) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OH OH3002952) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2023-06-09 |