| NPI | 1336280551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6649) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0018103) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2021-03-29 |