NPI | 1447845011 |
---|---|
Former Name | HANNA BURKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08549) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P.08549) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.08549) | |
Enumeration Date | 2021-03-05 |
Last Update Date | 2023-11-14 |