| NPI | 1518337682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P.08644) |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005583) | |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2025-10-20 |