| NPI | 1437204310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6029) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 913142) |
| 101YM0800X Counselor, Mental Health (Licence: OH E2332) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-03-06 |