| NPI | 1437315520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08616) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0500437) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2024-04-16 |