| NPI | 1447379094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: OH 4490) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: OH 4490) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-04-11 |