NPI | 1407180581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OH 6489) |
Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6489) |
103TF0000X Psychologist, Family (Licence: OH 6489) | |
Enumeration Date | 2009-09-23 |
Last Update Date | 2009-09-23 |