| NPI | 1518919075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6304) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC01710) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-12-05 |