| NPI | 1427343235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.07724) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LMSW-12781) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2023-11-03 |