| NPI | 1497894836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: OH 6944) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: OH 6944) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH 6944) | |
| 103TF0000X Psychologist Family (Licence: OH 6944) | |
| 103TR0400X Psychologist Rehabilitation (Licence: OH 6944) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-12-03 |