| NPI | 1528575982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6752) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E0700405) |
| 103TC0700X Psychologist Clinical (Licence: OH 6752) | |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |