| NPI | 1396077848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.08789) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.010554) |
| 101YP2500X Counselor, Professional (Licence: IL 180010116) | |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2025-09-22 |