| NPI | 1548310600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH OHIO4649) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: OH 4649) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2023-02-13 |