| NPI | 1407355266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 7554) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OH 7554) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2019-03-15 |