| NPI | 1528363561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7014) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical (Licence: IN 20042577A) | |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2013-06-10 |