| NPI | 1538583844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OH KU1002895) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OH SP488) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-09-22 |