| NPI | 1487120770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH p.08428) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 37AC00371900) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.2103689) | |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2023-01-15 |