| NPI | 1518305598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08465) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1801563) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2023-05-25 |